Individual
CAITLIN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 NW BUCKLIN HILL RD STE 224, SILVERDALE, WA 98383-8365
(360) 536-3060
Mailing address
13923 S HAYSTACK PEAK CIR, RIVERTON, UT 84096-6453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG 60439543
WA
106S00000X
Behavior Technician
Primary
CB60981733
WA
174400000X
Specialist
—
—
Other
Enumeration date
07/15/2014
Last updated
07/18/2019
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